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Dr. Mitzi Michelle Gonzales, PHD
Clinical Neuropsychologist in Los Angeles, California
NPI 1659806123

Mitzi Michelle Gonzales is a Clinical Neuropsychologist based in Torrance, CA. Mitzi Michelle Gonzales practices in Los Angeles, CA and has the professional credentials of PHD. The NPI Number for Mitzi Michelle Gonzales is 1659806123 and holds a License No. 36697 (California).

The current practice location address for Mitzi Michelle Gonzales is 444 S San Vicente Blvd Ste 103, Los Angeles, CA and can be reached out via phone at 310-423-9722 and via fax at 310-248-8710.

Location: 444 S San Vicente Blvd Ste 103, Los Angeles, CA, 90504-5513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659806123
Provider Name
Mitzi Michelle Gonzales
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
444 S San Vicente Blvd Ste 103, Los Angeles, CA, 90504-5513
Phone Number
310-423-9722
Fax Number
310-248-8710
Provider Enumeration Date
04/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
382200901 05 TX
382200902 01 TX CSHCN
institution
Provider Business Practice Location Address Details
Address
444 S San Vicente Blvd Ste 103
City
Los Angeles
State
California
Zip
90048-4169
Phone Number
310-423-9722
Fax Number
310-248-8710
person
Provider Business Mailing Address Details
Address
444 S San Vicente Blvd Ste 103
City
Los Angeles
State
California
Zip
90048-4169
Phone Number
310-423-9722
Fax Number
310-248-8710
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
36697 (Texas)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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